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Indiana University School of Medicine
Indiana University School of Medicine
Psychiatry

Educational Experience

The Consultation-Liaison Psychiatry Fellowship provides fellows with profound clinical experiences across a variety of medical and surgical settings, treating a diverse population with complex health conditions. 

Schedule:

  • Five months of inpatient consultation-liaison (CL) psychiatry at IU Health University Hospital
  • Two months of inpatient CL psychiatry at IU Health Methodist Hospital
  • One month of inpatient CL psychiatry at IU Health North/West Hospitals
  • Three months of inpatient and outpatient CL psychiatry at Roudebush VA Medical Center
  • One month of electives — options include ethics, research, child and adolescent CL psychiatry, inpatient CL psychiatry at Eskenazi Hospital; there are also options for self-designed electives in specific areas of interest

Additional opportunities/electives: gender health clinic, substance use disorders clinics/consult service, toxicology, functional disorders/pain rehabilitation clinic, administrative psychiatry, etc. 

Apply

Applicants can start the process at any time through a consultation with the program director, Emily Holmes, MD, or program coordinator, Linda Dye.

Clinical Sites

CL Psychiatry Team 2025

IU Health University Hospital

Indiana University Health University Hospital  is a quaternary teaching hospital with busy solid organ (liver and kidney) transplant, bone marrow transplant, hepatology, and oncology services. The multivisceral transplant service receives patients from all over the country for bowel and pancreas transplants. The consult team also covers pregnant and postpartum patients at the Riley Maternity Tower.

Hanna Degen, DO, CL Psychiatry

IU Health Methodist Hospital

IU Health Methodist Hospital is a quaternary teaching hospital and level one trauma center that houses the emergency department that serves both Methodist and University Hospitals.  Heart and lung transplant, trauma surgery, neurology, neurosurgery, and cardiology have services at Methodist Hospital. Methodist Hospital also houses the inpatient psychiatry unit and a med-psych unit.

IU Health West Hospital

Suburban Hospitals

IU Health North and IU Health West are suburban hospitals within the IU Health system. This rotation gives fellows the opportunity to practice consultation-liaison psychiatry in a community-based setting.  

photo of va hospital entrance

Roudebush VA Medical Center

Richard L. Roudebush Indianapolis VA Medical Center receives referrals from VA hospitals in Indiana and neighboring states. Fellows will rotate on the inpatient consultation-liaison service and in an outpatient integrated care clinic. There are also numerous opportunities for subspecialty electives including critical care, palliative care and sleep medicine.

Didactics

Fellows participate in a robust didactic series: 

  • Fellowship Didactics — one hour per week; example topics include serotonin syndrome and NMS, clozapine in the medically ill, ICU psychiatry, transplant psychiatry, etc. 

  • CL Book Club — three to four times per year, discussion of a CL-adjacent book  

  • IU/University of North Carolina Joint Fellowship Didactics — one hour per month; shared didactics with the UNC Consultation-Liaison Psychiatry Fellowship 

  • Optional: weekly Addiction Psychiatry Symposium, Department of Psychiatry Grand Rounds, Ethics Grand Rounds, Ethics Consult Subcommittee

 

Fellowship in Clinical Ethics

The Dual Fellowship in Consultation-Liaison Psychiatry and Clinical Ethics is a unique program that provides CL psychiatry fellows the opportunity to simultaneously complete the Paul Helft Part-Time Fellowship in Clinical Ethics. The dual fellowship allows the trainee to complete both fellowship programs in a single academic year.

 

The Fairbanks Center for Medical Ethics (FCME) is an endowed center that was created to support clinical ethics consultation and education at IU Health, providing clinical ethics expertise to the health care system and the community at large. Since 2005, FCME has hosted the Paul Helft Part-Time Fellowship in Clinical Ethics, a competitive, part-time certificate program. The fellowship has graduated over 150 clinical ethics fellows, with multidisciplinary representation including physicians, nurses, social workers, chaplains and other members of the health care team. 

The fellowship consists of a core curriculum of weekly seminars (a full day on Wednesdays) on core topics in clinical ethics, three to four weeks of call on the ethics consultation service and a scholarly project.

Once a CL psychiatry fellow matches at IU, they are eligible to apply for the Paul Helft Part-Time Fellowship in Clinical Ethics. The fellowship application deadline is typically in late-March. If accepted, the dual fellow participates in the FCME fellowship curriculum alongside the CL psychiatry fellowship rotations. 

That is completely fine! Fortunately, FCME hosts several educational opportunities that are open to the IU community. These include twice monthly ethics consultation case discussion, monthly ethics Grand Rounds and a biennial clinical ethics conference.